<%@ page language="java" contentType="text/html; charset=UTF-8"
    pageEncoding="UTF-8"%>
<!DOCTYPE html PUBLIC "-//W3C//DTD HTML 4.01 Transitional//EN" "http://www.w3.org/TR/html4/loose.dtd">
<html>
<head>
<meta http-equiv="Content-Type" content="text/html; charset=UTF-8">
<!--  <script type="text/javascript" src="resources/js/medical/dataSurvey.js"></script>-->
<title></title>
</head>
<body>
	<div>
		<div class="min-width-800">
			<form id="org_dataSurveyForm" method="post">
				<input type="hidden" id="guid" name="guid" />
		    	<div class="margin10">
		    		<label class="label-right6">名称</label>
		    		<input class="easyui-validatebox input-250" type="text" name="orgName" data-options="required:false"/>
		    		<label class="label-right6">地址</label>
		    		<input class="easyui-validatebox input-250" type="text" name="addressFull" data-options="required:false"/>
		    	</div>
		    	<div class="margin10">
		    		<label class="label-right6">中医馆负责人</label>
		    		<input class="easyui-validatebox input-250" type="text" name="legalPerson" data-options="required:false"/>
		    		<label class="label-right6">联系人</label>
		    		<input class="easyui-validatebox input-250" type="text" name="contactPerson" data-options="required:false"/>
		    	</div>
		    	<div class="margin10">
		       		<label class="label-right6">面积</label>
		       		<input class="easyui-validatebox input-250" type="text" name="orgArea"/>
		       		<label class="label-right6">床位</label>
		       		<input class="easyui-validatebox input-250" type="text" name="orgBedspace"/>
		    	</div>
		    	<div class="margin10"> 
		    		<label class="label-right6">联系电话</label>
		    		<input class="easyui-validatebox input-250" type="text" name="contactNumber"/>
		    		<label class="label-right6">联系邮箱</label>
		       		<input class="easyui-validatebox input-250" type="text" name="contactEmail"/>
		    	</div>
		    	<div class="margin10">
		    		<label class="label-right6">机构网站</label>
		    		<input class="easyui-validatebox input-250" type="text" name="website"/>
		    		<label class="label-right6">机构验证码</label>
		    		<input class="easyui-validatebox input-250" type="text" name="authCode"/>
		    	</div>
		    	<div class="margin10">
		    		<label class="label-right6">成立时间</label>
		    		<input class="easyui-datebox input-255" type="text" name="foundedTime"/>
		    		<label class="label-right6">医疗专长</label>
		    		<select id="addSurvey_dataSpeciality" name="clinicSpeciality"></select>
		    		<div id="add_surveySP" class="data-grid-special">
		    			<div class="data-grid-top">
		    				<input id="add_dataSuvSearch" />
		    				<span style="margin-left: 105px;font-weight:bold;">已选专长（单击删除）</span>
		    			</div>
		    			<div style="height:242px;">
		    				<div class="data-grid-left">
		    					<table id="add_dataSuvLeftGrid" ></table>
		    				</div>
		    				<div class="data-grid-right">
		    					<table id="add_dataSuvRightGrid" ></table>
		    				</div>
		    			</div>
		    		</div>
		    	</div>
		    	<div class="margin10">
		    		<label class="label-right6">中医馆图片</label>
					<img id="addSuv_loading" alt="" src="resources/images/default.jpg" style="width:250px;height:150px;">
		    	</div>
		    	<div class="margin10">
		    		<label class="label-right6"></label>
		    		<input id="surveyImageFile" value="请选择文件" type="file" size="10" name="imageFile" 
		    			onchange="orange.dataSurvey.addImageFileUpload()" />
		    	</div>
		    	<div class="margin10">
		    		<label class="label-right6"></label>
		    		<a href="#" class="easyui-linkbutton app-window-btn" onclick="orange.dataSurvey.submit()">提交</a>
		    	</div>
	    	</form>
		</div>
	</div>
</body>
</html>